Kacey Dustin Blaylock O.D.

  • NPI 1164871489
According to our database, the NPI number for Kacey Dustin Blaylock O.D. is 1164871489 and activated since 7 years ago. Kacey Dustin Blaylock O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 360 E Mallard Dr Ste 110, Boise, ID 83706. You can also contact Kacey Dustin Blaylock O.D. via telephone number is (208) 336-8700. Provider NPI information was last updated on 06/16/2021.

Recently Active NPIs

Overview of Kacey Dustin Blaylock O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/07/2016
  • Last updated: 06/16/2021

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100370
  • License State: ID

Provider Mailing Address

  • Address: 360 E Mallard Dr Ste 110
    Boise, ID 83706
  • Phone: 208-336-8700
  • Fax: 208-426-0902

Provider Practice Location

  • Address: 360 E Mallard Dr Ste 110
    Boise, ID 83706
  • Phone: 208-336-8700
  • Fax: 208-426-0902

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100370
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kacey Dustin Blaylock O.D.?
  • A: The npi number for Kacey Dustin Blaylock O.D. is 1164871489.
  • Q: What are Kacey Dustin Blaylock O.D.'s specialties?
  • A: Kacey Dustin Blaylock O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for Kacey Dustin Blaylock O.D.?
  • A: The medical license number for Kacey Dustin Blaylock O.D. is ODP-100370 and issued in ID in USA.
  • Q: Where is Kacey Dustin Blaylock O.D. practice location?
  • A: Kacey Dustin Blaylock O.D. is practicing at 360 E Mallard Dr Ste 110, Boise, ID 83706.
  • Q: How to contact Kacey Dustin Blaylock O.D.?
  • A: You can contact Kacey Dustin Blaylock O.D. via 208-336-8700.